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APPLICATION FOR BUILDING PERMIT 1
DMSION OF BUII,DING AND SAFETY BUILDING
DBp� Dl eof County Engines
ADDRHHB ` DGl�- S I
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Cornu Ot los Angeles LOCALITY T. C
1 WM J PDX.COUNTY ENGINEER NEAREST /1 1'f I•. n
`CASSATT D GRIFFIN, SUP T OF BUILDING DESIST -G-
DISTRICT NO GROU TVPI 7- SEWER MAP
FOR APPLICANT TO MIIi N 41 G P
BUILDINADDRESS C J7
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NUMBER o e "H Yes
LOT NO I- BLOCK USE ZONE SPECIAL 1
CONDITIONS
TRACT /�R LF(t It
SIZE OF LOT NOW ON LOT SUQTBACK YARD HWY STING RE[T NAME y�yj TDTD N
USE OFEXIST w G e 4 L / . FRONT
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OWNER G kCo IIIDQ `
MAIL7 a(p L S O TRACT DWELL 1 UNIT
ADDRESS tSQINDUSTRIAL
/� TL 1
C cF O DWELL 1 UNIT B PUBLIC BLDG ,
ARCHITECT OR TEL 2 DUPLO[ 1 UNIT 7 ADDN ALTd QETC
ENGINEER HO g AFT _UNITS
MIBCEL lT
ADDRESS 4 COMMERCIAL
CONTRACTO 17 Co ff S L 3 1 INSPECTION RECORD
ADDRESS (,qq /L r--skBoe
/DESCRIMON OF WORK
NEW A'ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
S1,Z 0 STORIES FAMILIES
USS OF*T=7g e
SIGNATURE OO
APPLICANT [�G APPROVALS
ADDRESS G DATE INSPECTOR S BIGNATURE
FOUNDATION P C Ill FORMS MATERIALS
TION /,�fpy ,p,El�iUEJJ'ED
P.
FRAME FIRE STOPS
VALUATION I BRACING BOLTS
FURNACE LOCATION
1 KD
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT �-
AND AGREE TOICOMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION Wu O
LATH Off
SIGNATURE OF O HOUSE NUMBER COR•
PERMITTH6 RRCT AND POSTED
wDDREQ �L �- LFINAL F/7
WM J FOX,COUNTY ENGINEER VALIDATION C. N DIRLAM CHIEF BLDG INSPECTOR
_�C,o 9 7 7 E u, 1:0V 7 1 400 m
DEP.kRTMENT OF SVILDINgr AND SAFETY APPLICATION FOR PERMIT
{ COUNTY OF SOS ANGELES el -
F WM. J FOX, CHIEr ENGINEER f�< fCirou ' L D N G
FOR APPLICANT TO PLL M. \ ^ FOR OFFICE USE ONLY
DIBTR�,D �- PERMIT NO.
B LDINDRESS 3
ADDRESS
LOCALITY _ RECEIVED BY OAT[Or ArPL DAT[ IMBUED
NEAREST -in
a oee Br
/� BUILDINGOWNER (�7 ADDRESS
MAIL LOCALITY
ADDRESS trz "
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1 TEL. OROBS BT o.y
CI NO rIRE NO Or TMP[ GROUP
ARCHITECTOR TEL ZONE I PLANS
ENGINEER NO
BLDG I _ ORD N6
ADDRESS SETBACK LIN[
APPROVED
TE
CONTRACTOR NOL my DATE
UB[ APPROVED I
ADDRESS ZONE BY CORRECTIONS
'OAT[ I
LEGAL I
DESCRIPTION LOT NO SLICK
TRACT
�Q GI3
X No or BLDG& I /
SIZE OF LOT NOW ON LOT w
USE OF NO Or NO Or / _
EKISTING STDG FAN I LI[[ 1 ROOMS _ _�V
DESCRIPTION OF WORK
NEW ALTERATION ADDmom -/_
///// O
REPAIR MOVING DEMOLISH F
O
BD rT. NO Or "
BIZ6 r1.� ROOMS STORIES ��•/�. ! . )!� �,G
WALL ROOT "
COVERING / COVERING
UBE Or NEW /A ,
BUILDING C/ Q
v
A \
1i b/—J / T/d T 4-r
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AND AGREE TO 4p MPLY WITH ALL COUNTY ORDINANCES FOUNDATION- LOCATION INSPECTOR DATE
AND STATE LAWS REGULATING BUIL� /�DING CONSTRUCTION FORMS. MATERIALS r - a0
iY�
�e FRAME IR
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SIGNATURE OF BRACING BOLTS '
PERMITT[V
LATH. INT
AUTHORIZED AOT
J-,0-0-1p
�� LATH, EXT
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Slow 7-5'3'")` P C B 7s PLASTER. INT
f/V rEE
q PLASTER, EXT.
VALUATION r[E , / FINAL